| NPI | 1467787317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRONILLA OGECHI UDUMAEZE President 214-718-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 247200000X |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |